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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 8/26/93 <br /> NEN FACILITY CHANGE OF OWNER DATE OF OWNER CHANGE / I_ INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / I_ DELETE <br /> ,yOWNER FILE <br /> OWNER ID 7� CASE It fI BILLING PARTY <br /> OWNER NAME -� Irk -wlTruX' IC/lQ hoW-Ch'h1kT (./1 C7Y -9UNER HOME PHONE <br /> OWNER DBA -7,Y / /� I OWNER WRK/BUS PH (Z`''� ) - ZO <br /> OWNER ADDRESS 3/ I4- r `�'��.ICd�H l 'C/,,1,4. oto^ 2,077� <br /> OWNER CITY Sd�e K.- STATE �A ZIP ✓7 <br /> MAILING ADDRESS 05 [Zo 'I ild W <br /> CARE OF _IF'F�SL'Qw r FT(l I`--z�� <br /> CITY 1 /r7L.W" STATE 34 ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS Sho n0 I <br /> I <br /> FACILITY FILE <br /> FACILITY ID # ,O BILLING PARTY Y ! W. <br /> 1 # OF EMPLOYEES <br /> FACILITY NAME -7�a'V 1�-q\A]OO S` (� ! I �(�DI�"r� CeV4-1- TRUST LANDS? Y / N qr-, <br /> FACILITY ADDRESS 170L �i'CZ�'c �lV [T0.yhW�F,1� 1.-�^"lc HOME PH (""��?l�,,)4-f _- 5200 <br /> CROSS STREET r�yy,, BUSH PH CZE ) 7�• `� -Q'^`-00 <br /> CITY STATE � ZIP J`T�%� /- <br /> Census I --------- I BOS Dist+ Location Code City Cotle ---------- � <br /> MAILING ADDRESS \,,CC11�'YTS cly-" '4JQ 1�QY1T�.�,dt APN # <br /> CARE OF watt-✓ Jh1n 1.�J- ✓ V/l7r"'W�v"W*KF" SIC nCOD/E <br /> CITY S -✓I--� J STATE l-�'Y"-. ZIP 2-0-' <br /> GENERAL TYPE of BUSINESS at this FACILITY �o✓..,,r.J -in �-�� <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING,(INFORMATION <br /> NAME HOME PHONE ( ) <br /> MAILING ADDRESS $USN PHONE C ) <br /> CARE OF <br /> CITY STATE ZIP <br />